Liliana Navarro
Summary
Experienced healthcare professional with a strong background in patient access services. Provides efficient and compassionate support. Skilled in fostering a collaborative environment and consistently achieving results. Demonstrated expertise in patient registration, insurance verification, HIPAA rules, insurance protocols, and problem-solving. Utilizes a reliable and adaptable approach.
Overview
17
17
years of professional experience
Work History
ONC Patient Access Specialist III
Tampa General Hospital
01.2023 - Current
- Greet newly arriving patients and complete patient registrations
- Perform pre-registration tasks, including verifying insurance eligibility and benefits
- Collect applicable costshare payments for patient appointments
- Assist with appointment scheduling, rescheduling, and cancellations
- Obtain and verify demographic, confidential clinical and fiscal information
- Respond to patient concerns and inquiries professionally and efficiently
- Furnish patients with an after-visit summary upon their departure from the clinic
- Ensure compliance with all CMS, JCAHO, and HIPAA requirements
- Collaborate interdepartmentally to assist patients with access to care
- Support with submitting prior authorization assistance for SOZO screenings
Patient Eligibility Rep.
St. Joseph's Healthcare Systems
01.2022 - 01.2023
- Evaluates patient's insurance needs based on age, income, current health issues and immigration status
- Assisted patients in choosing insurance plans including Private ACA Marketplace, PE, Medicaid, Medicare and Charity Care
- kept abreast of all changes to the ACA
- Worked with Outpatient Services to oversee continuing enrollment for all patients
- Performed financial screenings
- Registered Inpatient, Outpatient and ER Patient visits
- Verified Insurance benefits
- Collection of emergency room and outpatient co-payments
- Ensured the hospital is in compliance with state and federal rules
- Report any fraud, waste and abuse discrepancies to the appropriate parties
Patient Accesses Rep.
Hackensack UMC at Pascack Valley Hospital
01.2014 - 01.2021
- Conducted initial patient interviews
- Performed financial screenings
- Instructed and assisted patients with questions about Charity Care applications
- Pre-Registered Out-Patient visits
- Registered Inpatient, Outpatient and ER Patient visits
- Verified Insurance benefits
- Performed Quality review on patient registrations
- Collected of emergency room co-payments
- Worked on the unverified accounts daily and make all updates accordingly to ensure timely bills are paid
- Possessed knowledge for all departmental guidelines and all payer on-line verification systems
- Ensured the hospital follows all state and federal rules and report any discrepancies to the appropriate parties manager
Patient Financial Rep.
St. Joseph's Healthcare Systems
01.2008 - 01.2014
- Reviewed prior day's admission report and identify all self-pay patients
- Visited patients at bedside to determine insurance coverage
- Checked all self-pay patients for possible MVA/WC related insurance & screened for Medicaid or NJHCAP Charity Care eligibility
- Submitted finalized NJHCAP applications for manager approval
- Ensured the hospital is in compliance with all state and federal rules and NJHCAP regulations and report any discrepancies to the appropriate business manager
- Worked unverified accounts on a daily basis and made all updates accordingly to ensure timely bills are released
- Possessed knowledge of all departmental guidelines and all payer on-line verification systems
- Maintained working relationship with all departments involved in the inpatient self pay process including vendors
Education
Bergen Community College
CRCR Certification - Certified Revenue Cycle Representative
Skills
- Sorian Financial
- Medical Terminology
- Financial Reporting
- Citrix/Revenue Cycle
- Power Chart
- ICD-9/ICS-10 Codes
- EPIC
- HIPAA compliance
- Appointment scheduling
- Front desk operations
- Benefits explanations
- English and Spanish fluency
LANGUAGE
Fully Bi-lingual (English & Spanish)
Timeline
ONC Patient Access Specialist III
Tampa General Hospital
01.2023 - Current
Patient Eligibility Rep.
St. Joseph's Healthcare Systems
01.2022 - 01.2023
Patient Accesses Rep.
Hackensack UMC at Pascack Valley Hospital
01.2014 - 01.2021
Patient Financial Rep.
St. Joseph's Healthcare Systems
01.2008 - 01.2014
CRCR Certification - Certified Revenue Cycle Representative
Bergen Community College
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